Isolated lateral compartment arthritis or focal chondral defects in the setting of genu valgum Beauty in young, active individuals can be treated with a varus-producing distal femoral osteotomy with or without cartilage treatment.Both medial closing-wedge and lateral opening-wedge techniques have been described, with neither demonstrating clear superiority.The objective of this Technical Note is to describe a technique of biplanar medial opening-wedge with controlled reduction using an articulated tensioning device to Anti-Aging Skin Care Kits achieve a safe, reproducible result.